A client asks the nurse to explain the action of mifepristone. The nurse's best response is:

a. "It stimulates uterine contractions, so a fertilized egg cannot remain implanted.
b. "It acts directly on the lining of the uterus to increase the amount of menstrual flow."
c. "It inhibits progesterone, making the lining of the uterus unsuitable for implantation of a fertilized egg."
d. "It inhibits the ovarian follicle, so that estrogen is not released so ovulation doesn't occur."


ANS: C

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A Incorrect: This is not the action of mifepristone.
B Incorrect: This is not the action of mifepristone.
C Correct: This is the action of mifepristone.
D Incorrect: This is not the action of mifepristone.

Nursing

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1. Inform the woman she likely is already pregnant and will not benefit from emergency contraception. 2. Assess the woman's financial resources to obtain the emergency contraception preparation. 3. Determine any potential allergies to the components of the emergency contraception pills. 4. Advise the woman that emergency contraception is administered only in the first 72 hours after the attack.

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A client has been receiving care for an elevated body temperature. Which of the following would indicate that care has been effective?

1. Moist mucous membranes 2. Urine output 20 ml/hour 3. Blood pressure 118/68 mmHg 4. Tenting of skin

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Which of the following actions would the nurse take when finding an innocent murmur while listening to a child's heart?

a. Refer the child and mother to a cardiologist. b. Advise the caregiver(s) to restrict the child's activity. c. Teach the family that this murmur needs no intervention. d. Get an order for oxygen, and administer it as soon as possible.

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To provide culturally competent care, it is most important that the nurse:

A) Demonstrates culturally appropriate behavior B) Is sensitive to issues related to culture C) Knows what to expect from many cultural groups D) Validates knowledge about culture through continuing education

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